Dr. Geraldine Gardner, D.O.
Internal Medicine, Cardiovascular Disease in La Grande, OR. Individual provider (NPI-1).
NPI number1033101696
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1033101696
- Entity type
- Individual (NPI-1)
- Name
- Dr. Geraldine Gardner
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | DO194314 | OR | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | OP60308505 | WA | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 822 | NV | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 7383A | WY | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 20A6134 | CA |
Practice location
900 Sunset DrLa Grande, OR 97850-1387
Phone 541-963-2328 · Fax 541-975-5210
Mailing address
Po Box 3290La Grande, OR 97850-7290
Phone 541-963-2328 · Fax 541-975-5210
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